Dengue Infection with Unusual Manifestations: A Case Report

CHUKIA T SIRIVICHA Y AKUL, M.D.*, PORNTHEP CHANTHA V ANICH, M.D.*, W ATCHAREE CHOKEJINDACHAI, M.D.*, ARUNEE SABCHAROEN, M.D.*, KRISNA PENGSAA, M.D.*, VIPA PRARINYANUPHARB, B.Sc, B.N.**

Affiliation : * Department of Tropical Pediatrics, Faculty of Tropical Medicine, ** Hospital for Tropical Diseases, Faculty of Tropical Medicine, Mahidol University, Bangkok 10400, Thailand.

AbstractSince 1978, there has been an increasing number of reported cases of dengue infection with unusual manifestations and most of them had dengue shock syndrome. We report here one patient who had dengue hemorrhagic fever grade II with liver failure and hepatic encephalopathy and very high elevation of liver enzymes. She made a complete recovery after conservative therapy. She is the fourth case of reported dengue hemorrhagic fever grade II who had unusual manifestation.

Keywords : Dengue Hemorrhagic Fever, Unusual Manifestations, Liver Failure

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